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Therapeutic Approach in Psychiatric Nursing: Transactional Analysis

Melike Yönder Ertem and Fatma Eker

Aim: The aim of this review is to explain the transactional analysis theory in the context of therapeutic approach in psychiatric nursing.

Background: Psychiatric patients, who are subject to functional disability, cognitive-perceptual changes, orientation disorders, changes in thought content and vice versa, can have difficulty making the right decision for themselves about the treatment and care. In this context, providing quality health care services is firmly bound up with attitude and behavior of the psychiatric nurses. Positive nurse attitudes exhibited during the treatment process relax the patients, promote their integration into the environment and finally facilitate their response to the treatment. In contrast, negative nurse attitudes bring about poor social interactions with the patients leading to problems such as patients progressively disconnecting from their environments and generating high resistance to the treatment. Psychiatry nurses’ awareness of their attitudes towards mental diseases and the patients aids them in establishing early and proper diagnosis of the mental diseases, providing adequate medication and caring which are of great importance in terms of protective treatment, rehabilitation and nursing services.

Conclusion: Psychiatry nurses should be knowledgeable about the transactional analysis theory, in particular the ego states and transactions, which would eventually help them in achieving positive attitudes towards mental patients.